Doctor : Hi Dr here
User : Hello Dr
Doctor : how can i help you today?
User : Dr I have received my report on thyroid profile; Thyroid Profile: T3 - 1.15 T4 - 7.71 TSH- 5.20
User : I have hypothyrodism
Doctor : ok
User : and on medication from past 3 yrs, taking eltroxin 100mg
Doctor : your thyroid levels T4 & TSH are within normal levels
User : Do I need any change in dosage?
Doctor : do u feel ok, do u have any symptoms like diarhea, high pulse rate etc ?
User : feel very sleepy
Doctor : any constipation, feeling depressed ?
User : ya depressed
Doctor : when was the last time, you went to the doctor for a check up and physical examination?
User : This test was done just 4 days back
User : General checkup must be more than 8 months
Doctor : do u think your symptoms of depression have been increasing over time ?
Doctor : ok
User : Yes, I feel depressed for sure. Even stressed at office even though there is no much work, feel people irritable
Doctor : as such, you need to have a slight increase in your meds, considering your symptoms could be due to hypothyroidism (though your tests are normal - clinically euthyroid)
Doctor : you will need to get screened by your doc, for depression
Doctor : are u following me
User : Yes
Doctor : what you can do, as its been very long that u have seen your doc,
User : Do you want me to see a Endocrinologist
Doctor : see your doc, within 2 weeks and then ask for change in the medicine dosage
Doctor : just see your regular doctor, as he knows more about your condition
Doctor : and will know if to change the meds or not
Doctor : changing doctors frequently is not adviced
User : Ok, but my family doctor is not available in town for next 2 months. So any general physician will be ok?
Doctor : yes, seek advice from a Internist (MD)
Doctor : in Medicine
User : Sure, thanks for advice
Doctor : you are welcome
Doctor : Do u have any other query?
User : Is my Lipid Profile ok? Lipid Profile: Triglyceride - 124 Total Cholesterol - 183 HDL - 52 LDL - 102 DL - 29 Cholesterol HDL ratio - 3.5
Doctor : Triglyceride - 124 (IS OK) Total Cholesterol - 183 (is a bit high, should be less than 150) HDL - 52 (good value ) LDL - 102 (is good)
Doctor : overall the lipid profile is ok
Doctor : but make sure that you have a low fat diet, and use Olive oil , sunflower oil
User : I am using safolla oil
Doctor : avoid butter, dalda,
Doctor : Saffola oil is good
User : Yes I am too over weight 105kg... but started to workout regularly.
Doctor : if in case you need a diet advice, you can avail, the diet service available on your panel
User : I will for sure need that.
Doctor : ok
User : Thank you Doc
Doctor : you can ask for a diet service and the CCE will get back to you
User : Sure
Doctor : do u have any other query?
User : No
Doctor : ok
Doctor : please remember to leave ur feedback as u log out
User : Thanks Doc
Doctor : thanks for consulting me here
Doctor : bye for now
User : Sure
User : Bye